{"id":25135,"date":"2018-02-22T19:30:24","date_gmt":"2018-02-22T14:00:24","guid":{"rendered":"https:\/\/zovon.com\/?p=25135"},"modified":"2018-08-01T13:18:57","modified_gmt":"2018-08-01T07:48:57","slug":"tendinitis-common-drug-list","status":"publish","type":"post","link":"https:\/\/zovon.com\/?p=25135","title":{"rendered":"Tendinitis and Its Most Common Drug List"},"content":{"rendered":"<p style=\"text-align: justify;\">Ever heard of tennis elbow or swimmer&#8217;s shoulder or jumper&#8217;s knee? Well, these are nothing but <strong>tendinitis<\/strong> (also known as tendonitis).<\/p>\n<p style=\"text-align: justify;\">A tendon is a tough band of tissues that connects muscle to bone. Tendons serve to move the bone and enable us to perform our daily activities. Any inflammation and irritation of tendons can cause pain, tenderness and restricted movement of the joint(s).<\/p>\n<p style=\"text-align: justify;\">The most common cause of this inflammatory condition is a repetitive action, particularly while playing sports. Thus, it is more common in athletes, who have a faulty technique. Improper sitting posture, walking habit or a strenuous exercise also increase our chances of developing tendinitis. A sudden injury to the tendons can also cause tendinitis. Diseases like <a href=\"https:\/\/zovon.com\/health-conditions\/diabetes\/\">diabetes<\/a> and <strong>arthritis<\/strong> also predispose a person to tendinitis. Tendinitis is frequently seen in elderly as, the flexibility of tendons decreases with age, making the tendons more prone to injury.<\/p>\n<p style=\"text-align: justify;\">Although it can be a dreadful condition to deal with, it can be easily managed through some at-home measures and medications. If left untreated, it can lead to a ruptured (torn) tendon, necessitating invasive treatment modalities.<\/p>\n<h2 style=\"text-align: justify;\">Symptoms<\/h2>\n<p style=\"text-align: justify;\">Tendinitis can affect any tendon of the body, but it most commonly involves shoulder, elbow, wrist, knee and heel. The inflammation of the tendon may present as following symptoms.<\/p>\n<ul style=\"text-align: justify;\">\n<li style=\"text-align: justify;\">Pain usually felt as a dull ache, which aggravates on moving the affected joint<\/li>\n<li style=\"text-align: justify;\">A grating or crackling sensation on movement of joint<\/li>\n<li style=\"text-align: justify;\">Tenderness of affected area on touching<\/li>\n<li style=\"text-align: justify;\">Presence of a lump along the tendon<\/li>\n<li style=\"text-align: justify;\">A tightness in the joint, making it difficult to move<\/li>\n<li style=\"text-align: justify;\">Sometimes, a swelling accompanied with redness, may also be seen in the affected joint<\/li>\n<\/ul>\n<h2 style=\"text-align: justify;\">Treatment<\/h2>\n<p style=\"text-align: justify;\">Tendinitis usually resolves on its own with adequate rest, application of an ice-pack and a compression bandage. However, if the condition does not improve with these measures or the tendon has ruptured due to a sudden injury, medical help must be sought.<\/p>\n<p style=\"text-align: justify;\">The goal of treatment is to relieve pain and reduce the inflammation. Over-the-counter painkillers may be consumed as oral preparations or topically applied to relieve the pain and inflammation. However, severe tendinitis not responding to painkillers may need corticosteroid injections to counteract the pain and swelling. Topical rubefacients are another group of drugs which can effectively relieve the symptoms of tendinitis.<\/p>\n<p style=\"text-align: justify;\">A doctor may also recommend a physical therapy involving a range-of-motion exercises to strengthen the tendons and muscles. However, when these non-invasive methods prove ineffective, surgical intervention may be needed.<\/p>\n<p style=\"text-align: justify;\">Another recently discovered treatment modality of tendinitis involves injecting Platelet-rich plasma (PRP) in the affected joint. However, more research is needed to know the safety and efficacy of this therapy.<\/p>\n<p style=\"text-align: justify;\">Various drugs used in the treatment of tendinitis are described below.<\/p>\n<h3 style=\"text-align: justify;\">1. Non-steroidal Anti-inflammatory Drugs (NSAIDs)<\/h3>\n<p style=\"text-align: justify;\">This group of drugs is directed at inhibiting the release of a chemical, known as prostaglandins. Prostaglandins are responsible for causing inflammation and pain in the body. These are produced in the body by numerous enzymes, one of which is known as Cyclo-oxygenase (COX) enzyme, which exists in two forms, COX-1 and COX-2.<br \/>\nNSAIDs inhibit COX enzyme and block the release of prostaglandins, thus relieving pain and swelling in tendinitis.<\/p>\n<p style=\"text-align: justify;\"><strong>Available as:<\/strong> Oral preparations and Topical preparations<\/p>\n<p style=\"text-align: justify;\"><strong>I. Ibuprofen<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter<br \/>\n<strong>Generic name:<\/strong> ibuprofen<br \/>\n<strong>Brand name:<\/strong> Motrin IB tablet<br \/>\n<strong>Side-effects:<\/strong> Belching, abdominal pain, bloating, cloudy urine, diarrhea, decreased urination<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>II. Indomethacin<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> indomethacin<br \/>\n<strong>Brand name:<\/strong> Tivorbex capsule<br \/>\n<strong>Side-effects:<\/strong> Diarrhea, sour stomach, belching, indigestion, heartburn, nausea, vomiting<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>III. Naproxen<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter<br \/>\n<strong>Generic name:<\/strong> naproxen sodium<br \/>\n<strong>Brand name:<\/strong> Aleve tablet<br \/>\n<strong>Side-effects:<\/strong> Bruising, indigestion, difficulty breathing, belching, itchy skin, headache<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>IV. Sulindac<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> sulindac<br \/>\n<strong>Brand name:<\/strong> Sulindac tablet<br \/>\n<strong>Side-effects:<\/strong> Stomach pain, sour stomach, belching, headache, constipation, heartburn<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>V. Ketoprofen<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter<br \/>\n<strong>Generic name:<\/strong> ketoprofen<br \/>\n<strong>Brand name:<\/strong> Ketoprofen capsule<br \/>\n<strong>Side-effects:<\/strong> Abdominal pain, headache, bloody urine, decreased amount or frequency of urination, increased thirst, appetite loss<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>VI. Diclofenac<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Diclofenac Oral<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> diclofenac<br \/>\n<strong>Brand name:<\/strong> Zorvolex capsule<br \/>\n<strong>Side-effects:<\/strong> Belching, abdominal pain, cloudy urine, constipation, dizziness, diarrhea<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>Diclofenac topical<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> diclofenac sodium (topical)<br \/>\n<strong>Brand name:<\/strong> Voltaren gel (topical)<br \/>\n<strong>Side-effects:<\/strong> Skin rash, burning sensation, fever, body ache, headache<br \/>\n<strong>Indicated in pregnancy:<\/strong> Usually contraindicated, especially in third trimester<br \/>\n<strong>Alcohol content:<\/strong> Contains traces of alcohol<\/p>\n<p style=\"text-align: justify;\">NSAIDs are also used to treat other inflammatory conditions, such as <strong>osteoarthritis<\/strong>, <strong>gouty arthritis<\/strong>, <a href=\"https:\/\/zovon.com\/health-conditions\/rheumatoid-arthritis\/\">rheumatoid arthritis<\/a> and <strong>ankylosing spondylitis<\/strong>.<\/p>\n<h3 style=\"text-align: justify;\">2. Corticosteroid Injections<\/h3>\n<p style=\"text-align: justify;\">Corticosteroids are drugs that mimic the action of a hormone, cortisol which is naturally produced by our adrenal glands. There are two types of corticosteroids i.e., mineralocorticoids and glucocorticoids. In tendinitis, glucocorticoids hold significance. When consumed in doses exceeding the body&#8217;s usual limit, glucocorticoids produce an anti-inflammatory effect by inhibiting the release of prostaglandins. However, unlike NSAIDs, they inhibit phospholipase A2 enzyme, which is also needed for the production and release of prostaglandins.<\/p>\n<p style=\"text-align: justify;\">Other than anti-inflammatory action, glucocorticoids also have an immunosuppressant action. Hence, it may have some major side-effects.<\/p>\n<p style=\"text-align: justify;\">Therefore, injections of corticosteroids are reserved for patients not responding to NSAIDs. Also, corticosteroids are not indicated in chronic tendinitis as regular use of this drug can weaken the tendon and can cause tendon rupture.<\/p>\n<p style=\"text-align: justify;\"><strong>Available as:<\/strong> Injectable preparations<\/p>\n<p style=\"text-align: justify;\"><strong>I. Triamcinolone acetonide<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> triamcinolone acetonide<br \/>\n<strong>Brand name:<\/strong> Kenalog-40<br \/>\n<strong>Side-effects:<\/strong> Aggression, agitation, blurred vision, anxiety, dizziness, decreased amount of urine<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if benefit outweighs fetal risk<br \/>\n<strong>Alcohol content:<\/strong> Contains traces of alcohol<\/p>\n<p style=\"text-align: justify;\"><strong>II. Dexamethasone<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> dexamethasone sodium phosphate<br \/>\n<strong>Brand name:<\/strong> Dexamethasone Sodium Phosphate<br \/>\n<strong>Side-effects:<\/strong> Aggression, agitation, blurred vision, anxiety, dizziness, decreased amount of urine<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if absolutely indicated<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>III. Methylprednisolone<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Prescription<br \/>\n<strong>Generic name:<\/strong> methylprednisolone sodium succinate<br \/>\n<strong>Brand name:<\/strong> Sol-U-Medrol<br \/>\n<strong>Side-effects:<\/strong> Aggression, agitation, blurred vision, anxiety, dizziness, decreased amount of urine<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if absolutely indicated<br \/>\n<strong>Alcohol content:<\/strong> Contains traces of alcohol<\/p>\n<p style=\"text-align: justify;\">Injectable corticosteroids are also used in the treatment of other disorders, such as <strong>lupus<\/strong>, arthritis, <strong>ulcerative colitis<\/strong>, <strong>psoriasis<\/strong> and some breathing disorders.<\/p>\n<h3 style=\"text-align: justify;\">3. Topical Rubefacients<\/h3>\n<p style=\"text-align: justify;\">As per a research paper, published in The Cochrane Database of Systemic Reviews, topical rubefacients can effectively relieve acute and chronic musculoskeletal pain. These are usually applied topically on the affected joint and act by dilating the capillaries and increasing the blood circulation. By doing so, these cause a \u201ccounter-irritation\u201d and cause reddening of the skin, giving a warm feeling to the skin. In contrast to topical NSAIDS, rubefacients do not inhibit any enzyme on penetration of the skin. Rather, they cause local irritation of the sensory nerve endings, which supply the underlying muscle and joint.<\/p>\n<p style=\"text-align: justify;\">Therefore, by causing irritation of the skin and the local nerve endings, it relieves pain and inflammation in tendinitis.<sup>[<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4171120\/\" target=\"_blank\" rel=\"noopener nofollow\">1<\/a>]<\/sup><\/p>\n<p style=\"text-align: justify;\"><strong>Available as:<\/strong> Topical preparations<\/p>\n<p style=\"text-align: justify;\"><strong>I. Salicylates<\/strong><br \/>\nIt is chemically similar to aspirin and NSAIDs, but differs in the acting mechanism (already mentioned above).<\/p>\n<p style=\"text-align: justify;\"><strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter<br \/>\n<strong>Generic name:<\/strong> methyl salicylate\/ menthol<br \/>\n<strong>Brand name:<\/strong> Salonpas patch<br \/>\n<strong>Side-effects:<\/strong> Redness, skin irritation, hives, rashes, itching, peeling skin<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if benefit outweighs fetal risk<br \/>\n<strong>Alcohol content:<\/strong> Absent<\/p>\n<p style=\"text-align: justify;\"><strong>II. Trolamine<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter<br \/>\n<strong>Generic name:<\/strong> trolamine<br \/>\n<strong>Brand name:<\/strong> Mobisyl cream<br \/>\n<strong>Side-effects:<\/strong> Redness, skin irritation, hives, rashes, itching, peeling skin<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if benefit outweighs fetal risk<br \/>\n<strong>Alcohol content:<\/strong> Contains traces of alcohol<\/p>\n<p style=\"text-align: justify;\"><strong>III. Capsaicin<\/strong><br \/>\n<strong>US-FDA Status:<\/strong> Approved for tendinitis<br \/>\n<strong>Availability:<\/strong> Over-the-counter\/ Prescription<br \/>\n<strong>Generic name:<\/strong> capsaicin<br \/>\n<strong>Brand name:<\/strong> Capzasin HP cream<br \/>\n<strong>Side-effects:<\/strong> Dryness, itching, burning, soreness, swelling, redness<br \/>\n<strong>Indicated in pregnancy:<\/strong> Only if benefit outweighs fetal risk<br \/>\n<strong>Alcohol content:<\/strong> Contains traces of alcohol<\/p>\n<h2 style=\"text-align: justify;\">OTC<\/h2>\n<p style=\"text-align: justify;\">There are several over-the-counter medications available to relieve the swelling and pain seen in tendinitis. The availability of these drugs in different countries have been described in the table below.<\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>Name of the Country<\/strong><\/td>\n<td><strong>OTC Drug(s) Available<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Argentina<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Australia<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral and topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Austria<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nNaproxen (oral and topical)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Canada<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>China<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nNaproxen (oral and topical)<br \/>\nKetoprofen (oral and topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Croatia<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Czech Republic<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Denmark<\/td>\n<td>Ibuprofen (oral)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>France<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Germany<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Greece<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (oral and topical)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (oral and topical)\\<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Hungary<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>India<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Ireland<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Italy<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Japan<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Mexico<\/td>\n<td>Ibuprofen (oral)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Philippines<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Russia<\/td>\n<td>Ibuprofen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Singapore<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>South Africa<\/td>\n<td>Ibuprofen (oral)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>South Korea<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Spain<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral and topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>Switzerland<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nIndomethacin (topical)<br \/>\nNaproxen (oral and topical)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>The Netherlands<\/td>\n<td>Ibuprofen (oral)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral)<br \/>\nDiclofenac (oral and topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>UK<\/td>\n<td>Ibuprofen (oral and topical)<br \/>\nNaproxen (oral)<br \/>\nDiclofenac (topical)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<tr>\n<td>USA<\/td>\n<td>Ibuprofen (oral)<br \/>\nNaproxen (oral)<br \/>\nKetoprofen (oral)<br \/>\nMethyl salicylate\/ Menthol (topical)<br \/>\nCapsaicin (topical)<br \/>\nTrolamine (topical)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"text-align: justify;\">It must be remembered that a doctor&#8217;s consultation is of utmost importance. Self-medication is not recommended.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ever heard of tennis elbow or swimmer&#8217;s shoulder or jumper&#8217;s knee? Well, these are nothing but tendinitis (also known as tendonitis). A tendon is a tough band of tissues that connects muscle to bone. Tendons serve to move the bone and enable us to perform our daily activities. Any inflammation and irritation of tendons can [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":33774,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[18941],"tags":[25875],"class_list":{"0":"post-25135","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-drug-by-condition","8":"tag-tendinitis"},"_links":{"self":[{"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/posts\/25135","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/zovon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=25135"}],"version-history":[{"count":0,"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/posts\/25135\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zovon.com\/index.php?rest_route=\/wp\/v2\/media\/33774"}],"wp:attachment":[{"href":"https:\/\/zovon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25135"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zovon.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25135"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zovon.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25135"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}